DR. AMANDA RAE JOHNSON (NPI# 1619385796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619385796 |
| Entity Type | Individual |
| Full Name | DR. AMANDA RAE JOHNSON |
| Credential | PHARM.D. |
| Practice Address |
6950 South Pine St Pacolet SC 29372 |
| Mailing Address |
501 Camelot Dr Apt 20 Spartanburg SC 29301-2714 |
| Practice Telephone | 8644741145 |
| Mailing Telephone | 9125363098 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 35700 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
6950 SOUTH PINE ST |
| City | PACOLET |
| State | SC |
| Zip Code | 29372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619300316 | Healthstat On-site Clinic/milliken Whitestone | Preventive Medicine | 190 Pine Oak Ln, Hwy 295, Spartanburg, SC 29372 | 2013-08-16 |
| 1922443399 | Sharon Huffman Brown | Registered Nurse | 850 Sunny Acres Road, Pacolet, SC 29372 | 2013-04-30 |
| 1205155355 | Jeffrey Stephen | Pharmacist | 6950 S. Pine Street, Pacolet, SC 29372 | 2010-05-27 |
| 1124343603 | Sharon Lynn Glass | Pharmacist | 6950 South Pine Street, Pacolet, SC 29372 | 2010-03-29 |
| 1538260377 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 6950 South Pine Street, Pacolet, SC 29372 | 2006-09-26 |
| 1033585526 | Crossroads Youth Ranch | Community/Behavioral Health | 344 Flemming Road, Pacolet, SC 29372-0000 | 2015-08-19 |
| 1710991054 | Pacolet Mills Rescue Squad, Inc | Ambulance | 980 Sunny Acres Road, Pacolet, SC 29372-0980 | 2006-07-29 |
| 1689018095 | Dianne D Arthur | Registered Nurse | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-04-29 |
| 1720425689 | Karra Smith Williams | Speech-Language Pathologist | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-05-31 |
| 1033633730 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6950 S Pine St, Pacolet, SC 29372-2243 | 2017-08-03 |
| Find all providers in zip 29372 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881009314 | James Colby Hawkins | Pharmacist | 7013 S Pine St, Pacolet, SC 29372-2246 | 2014-06-23 |
| 1205155355 | Jeffrey Stephen | Pharmacist | 6950 S. Pine Street, Pacolet, SC 29372 | 2010-05-27 |
| 1124343603 | Sharon Lynn Glass | Pharmacist | 6950 South Pine Street, Pacolet, SC 29372 | 2010-03-29 |
| 1942677976 | Eric Mcentire | Pharmacist | 7013 S Pine St, Pacolet, SC 29372-9995 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.